Senior Accountant – Multi-Entity Healthcare Operations

NANA Healthcare Management, LLC supports a growing network of behavioral health and substance-abuse treatment programs. Our finance team oversees a complex multi-entity structure, integrating data from EMR systems, billing platforms, bank activity, and QuickBooks Enterprise to ensure accurate, reliable financial reporting.

We value accuracy, documentation, accountability, and a calm, disciplined approach to daily accounting operations, especially in our fast moving environment.

The Opportunity

We are seeking a hands-on Senior Accountant who excels in reconciliations, multi-entity accounting, and detailed Excel work. Reporting to the Senior Finance Accountant (SFA), this role manages the day-to-day finance and accounting operations, including entering journals, managing accounts receivable and payable, using financial technology systems, and performing selected finance-related administrative tasks.

The Senior Accountant ensures the timely reconciliation and reporting of all financial statements; prepares financial analyses for the SFA and other key stakeholders as requested; maintains accurate fiscal records; and serves as a primary contact for internal staff regarding invoicing, bill payments, cash receipts, revenue, and budgeting information.

This is a technical, detail-focused accounting position where accuracy, documentation, and follow-through are essential.

Knowledge and Training:

• Bachelor’s degree in Accounting (strongly preferred).
• 3–5 years of hands-on accounting experience — not supervisory.
• Multi-entity or multi-location accounting experience.
• Advanced Excel skills.
• Experience with QuickBooks (Enterprise preferred).
• Comfort working with large volumes of data across multiple systems.
• Superior data management and data analysis skills.
• Strong time management and organizational skills.

Nice to Have

• Healthcare accounting or revenue-cycle experience.
• Familiarity with EMR/billing systems.
• Experience with reconciliations involving insurance/payer deposits.

What You Will Do

Core Accounting

• Ensure day-to-day transactions such as accounts payable, cash receipts and accounts receivable, credit card transactions, and payroll are recorded properly.
• Ensure proper expense recognition.
• Ensure all finance and accounting operations comply with generally accepted accounting principles (GAAP).
• Maintain schedules: AR, revenue, intercompany, prepaids, accruals, and fixed assets.
• Record and review journal entries with accuracy and documentation discipline.

Data Integration & Reconciliation

• Tie out EMR, billing platform, and QuickBooks data.
• Reconcile high-volume payer transactions (insurance, credit card, patient payments).
• Investigate missing items, mismatches, timing differences, and payer anomalies.

Month-End Close

• Support the Senior Finance Accountant (SFA) by preparing assigned close tasks and schedules.
• Ensure workpapers are organized, documented, and audit-ready.
• Maintain standard processes and checklists for recurring close activities.

Operations Support

• Assist with payroll allocations, revenue cycle tie-outs, and variance analysis.
• Investigate discrepancies and resolve errors with internal teams.
• Maintain internal controls and standardized close procedures.

Who Thrives Here

This role is ideal for someone who:

• Enjoys hands-on accounting.
• Values structure and precision.
• Works independently and follows established processes.
• Communicates clearly and keeps documentation clean.
• Wants long-term growth within a rapidly expanding multi-state organization.

Why Join NANA

You will work in a collaborative, disciplined finance environment with opportunities to grow as the company expands. Our pace is fast, our standards are high, and our culture respects accuracy, clarity, and professionalism.

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